Individual provider · Type 1 NPI

Gina Young, LICSW

Community/Behavioral Health Agency · Minneapolis, MN

NPI number 1245679653 Active

Practice location

2430 Nicollet Ave South, Washburn Center For Children
Minneapolis, MN 55404

Fax (612) 871-1505

Mailing address

1100 Glenwood Ave, Washburn Center For Children
Minneapolis, MN 55405-1430

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X20511 (MN)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1245679653

Gina Young, LICSW's National Provider Identifier is 1245679653, issued on Jun 19, 2013. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Minneapolis, MN. The record was last updated on Dec 17, 2014.